Individual
BRYCE DOUGLAS DIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 N MAPLE ST, GARNETT, KS 66032-1074
(785) 448-8878
Mailing address
15962 SW COLORADO RD, COLONY, KS 66015-9229
(785) 448-8878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103890
KS
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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